PhilCom
Philippine Global Communications Corporation
Control Number: ___________
Date: ___________
Web Hosting Application Form
Company Information:
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Company Name |
Date of Application |
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Nature of Business |
Tax ID Number |
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Contact Person |
Position |
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Billing Address |
Phone # |
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Fax # |
Hosting Package: (Pls Check)
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[ ] Business Hosting PackageFeatures: 10 Mb disk storage space 6 POP3 Mail boxes Site maintenance and updating via secured FTP
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[ ] Corporate Hosting PackageFeatures: 20 Mb disk storage space 12 POP3 Mail boxes E-mail Forwarding ASP/Frontpage-ready Site maintenance and updating via secured FTP Statistics Report (Webtrends) |
Hosting Fees (plus 10% VAT) Note: Hosting duration shall be for 12 months
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Business Hosting Package |
Corporate Hosting Package |
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Monthly Charges: |
PhP 880.00 |
PhP 1,320.00 |
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One-time Set Up |
PhP 660.00 |
PhP 660.00 |
Domain name: (Pls check)
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[ ] Own domain: US$ 45.00 |
[ ] Sub-domain: US$ 15.00 |
[ ] Existing Domain: |
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Ex. (http://www.abcxzy.com) |
Ex. (http://abcxyz.philcom.ph) |
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Company Representative: Name and Signature |
PhilCom Representative: Name and Signature |